Welcome to the Wild Women ARISE Experience, Sister!

Please fill out the intake questionnaire below to the best of your ability. Try to give yourself some quiet time and spaciousness to complete it, away from any external distractions. These are just some preliminary questions that we can keep on record for our journey together. You'll be receiving the Wild Women ARISE workbook a week before we begin to start going deep before our first sisterhood gathering. Can't wait to get started! And if you have an questions at all, please reach out to me at LainieLoveDalby@gmail.com.

Name *

Name

First Name

Last Name

Email Address *

Cell phone

Cell phone

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How did you hear about the Wild Women ARISE Experience? *

What called you to sign up for the Wild Women ARISE Experience? *

What do you feel is at the heartbeat of being a woman right now in our world?

What does being a Wild Woman look like, feel like and mean to YOU?

Do you currently have a relationship with the fierce feminine? If yes, please describe!

Have you participated in an in depth personal or spiritual development program in the past? If so with whom and what was the structure? How was the experience for you?

What is your religious/spiritual background?

What do you hope your life will be like after this 7 month program?

What is your intention for our 7 month journey? (this can change & shift over time)

When big emotions come up for you, how do you take care of yourself?

What are you 3 favorite songs to listen to/move to right now?

Do you currently take any medications? If yes, please list them and what they are being used to treat.

Do you receive any forms of healing or body work? If yes, what types and how often?

Do you have a regular therapist or mental health practitioner that you see? If yes, how often?